2016 Volume 36 Issue 3 Pages 553-558
In our department, we have actively introduced the mesh repair technique, including the transabdominal preperitoneal approach (TAPP), for incarcerated inguinal hernias. We reviewed 82 patients who underwent emergency surgery for an incarcerated inguinal hernia during the eight-year period from April 2006 to March 2014. In the review, we looked at three aspects of the surgeries. First, we made a comparison between TAPP (13 cases) and inguinal hernia mesh repair (36 cases) in patients who had not undergone intestinal resection; second, we compared mesh repair techniques, including laparoscopy, (12 cases) and inguinal incision suture procedure (8 cases) in patients who had undergone intestinal resection without perforation; and third, we put together a case report on our experience with TAPP secondary to intestinal resection in cases involving perforation and colonic necrosis. In the first part of the review, TAPP was considered as a useful surgical technique, because it significantly reduced the bleeding volume (P<0.01). In the second part, no significant difference was found between the two groups, and the mesh repair techniques were found to be a safe procedure for patients on infection control measures after intestinal resection. In the third part, the uneventful clinical courses of the patients covered in the case report suggested the usefulness of TAPP as a secondary procedure. Further accumulation of such cases is needed. These findings suggest that the mesh repair technique, including TAPP, can be a useful surgical technique for properly selected cases of incarcerated inguinal hernia.
